Inocêncio Gonçalo, Coutinho Lúcia, Maciel Raquel, Barreiro Márcia
Department of Obstetrics/Gynecology, Centro Hospitalar do Porto-Maternidade Júlio Dinis, Porto, Portugal.
BMJ Case Rep. 2013 Mar 26;2013:bcr2013009018. doi: 10.1136/bcr-2013-009018.
We present a case of a 29-year-old woman, with a history of ectopic pregnancy, which required left salpingectomy, and with a tortuous and impermeable right fallopian tube, compatible with hydrosalpinx. As hydrosalpinx itself can compromise a future pregnancy, treatment with Essure was proposed before passing to medically assisted procreation techniques. Five months after placement of Essure in the right fallopian tube, an in vitro fertilisation cycle was successfully completed and the woman had a singleton pregnancy and vaginal delivery without intercurrences.
我们报告一例29岁女性病例,该患者有异位妊娠史,曾行左侧输卵管切除术,右侧输卵管迂曲且不通畅,符合输卵管积水表现。由于输卵管积水本身会影响未来妊娠,因此在采用辅助生殖技术之前,建议使用Essure进行治疗。在右侧输卵管植入Essure五个月后,成功完成了一个体外受精周期,该女性单胎妊娠并顺利经阴道分娩,过程中未出现并发症。